My classes are similar to Naznin's.
I like the participants to feel in control of the agenda.  I usually ask the 
them why they feel the need to attend a class - after all breastfeeding is 
natural isn't it?  This usually starts a list of common problems and various 
questions they want answered.  I also ask why they think mothers run into 
problems and this can lead to discussing support, education, myths etc.  I 
make a list on the board to make sure all is addressed by the end of 2 
hours.  "Pain" and "not enough milk" are invariably on the list and these I 
prioritise.   ("Pain" is most often the first word from the participants!)

The main message I highlight is that breastfeeding should not hurt.  We 
still have far too few staff members who can recognise an effective and 
comfortable latch and mothers have an expectation that breastfeeding will be 
sore so often do not say anything.

As I feel the "how to" is a priority, I do not specifically address the 
"advantages", but invariably there is ample opportunity to slip in the odd 
research-based gem re not breastfeeding.  The Dads especially seem to like 
these.  I do add that there are no guarantees - some of us were bottle-fed 
and appear to be just fine and breastfeed babies can of course become ill, 
but the statistics are impressive.

I show a "how to" video and also "self attachment".  I like to include 
something on skin-to-skin and how to calm a distressed baby.

Jean Ridler  RN  RM  IBCLC
South Africa   [log in to unmask] 

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